Age-dependency of the Propagation Rate of Coronavirus Disease 2019 Inside School Bubble Groups in Catalonia, Spain

Copyright © 2021 The Author(s). Published by Wolters Kluwer Health, Inc..

BACKGROUND: We analyzed contagions of coronavirus disease 2019 inside school bubble groups in Catalonia, Spain, in the presence of strong nonpharmaceutical interventions from September to December 2020. More than 1 million students were organized in bubble groups and monitored and analyzed by the Health and the Educational departments.

METHODS: We had access to 2 data sources, and both were employed for the analysis, one is the Catalan school surveillance system and the other of the educational department. As soon as a positive index case is detected by the health system, isolation is required for all members of the bubble group, in addition to a mandatory proactive systematic screening of each individual. All infected cases are reported. It permits the calculation of the average reproductive number (R*), corresponding to the average number of infected individuals per index case.

RESULTS: We found that propagation inside of the bubble group was small. Among 75% index cases, there was no transmission to other members in the classroom, with an average R* across all ages inside the bubble of R* = 0.4. We found a significant age trend in the secondary attack rates, with the R* going from 0.2 in preschool to 0.6 in high school youth.

CONCLUSIONS: The secondary attack rate depends on the school level and therefore on the age. Super-spreading events (outbreaks of 5 cases or more) in childhood were rare, only occurring in 2.5% of all infections triggered from a pediatric index case.

Media Type:

Electronic Article

Year of Publication:

2021

Publication:

2021

Contained In:

To Main Record - volume:40

Contained In:

The Pediatric infectious disease journal - 40(2021), 11 vom: 01. Nov., Seite 955-961

Language:

English

Contributors:

Alonso, Sergio [Author]
Alvarez-Lacalle, Enric [Author]
Català, Martí [Author]
López, Daniel [Author]
Jordan, Iolanda [Author]
García-García, Juan José [Author]
Soriano-Arandes, Antoni [Author]
Lazcano, Uxue [Author]
Sallés, Pilar [Author]
Masats, Marta [Author]
Urrutia, Julià [Author]
Gatell, Anna [Author]
Capdevila, Ramon [Author]
Soler-Palacin, Pere [Author]
Bassat, Quique [Author]
Prats, Clara [Author]

Links:

Volltext

Keywords:

Journal Article
Research Support, Non-U.S. Gov't

Notes:

Date Completed 25.10.2021

Date Revised 12.09.2023

published: Print

Citation Status MEDLINE

doi:

10.1097/INF.0000000000003279

funding:

Supporting institution / Project title:

PPN (Catalogue-ID):

NLM328660914